Strengthening health systems – Health coverage for all

Children under five and women living in remote regions benefit from better access to medical treatment thanks to Switzerland's efforts in the realm of family medicine. © SDC

Good governance and the efficient management of resources are key factors in a well-functioning health sector. The SDC promotes the strengthening of health care systems in developing and transition countries. Switzerland strives to promote universal health coverage through its activities both to establish social protection mechanisms and to advocate for access to quality health care for the most vulnerable. 

SDC focus

Financing health

The SDC's support for health sector reforms in its partner countries is based on a thorough analysis of the prevailing political, economic and social contexts. Its aim: to guarantee access to quality health services for the poorest.

A combination of research and action enables the SDC to encourage the development of innovative financing and payment mechanisms for health services. Its interventions are always aligned with national policies and priorities, and implemented in direct cooperation with its governmental, non-governmental and private partners in the health sector. This approach seeks to develop a form of social protection capable of preventing the most vulnerable members of society from plunging into poverty as a result of their expenditure on health-related problems. SDC projects focus on the public sector and providing support to public-private partnerships. 

Governance and participation

The SDC promotes efforts to establish better governance in the health sector and supports both governmental and non-governmental actors in this objective as they strive to develop a culture of accountability, wage war on corruption and achieve transparency in the allocation and utilisation of resources.

At the community level, the SDC supports health promotion initiatives which involve marginalised and disadvantaged population groups. All users are encouraged to participate in the management and follow-up of health services as this helps reduce access barriers to care and leads to better health outcomes. This process of social empowerment enables users to know and assert their rights, and allows health care professionals to better respond to the needs of the population by offering quality care.

Determinants of health

The health of individuals and communities depends on a multitude of economic, social, cultural and environmental factors. SDC projects give priority to cooperation and coordination between different sectors (water, agriculture, education, etc.) in order to influence the various factors that constitute "determinants of health". Its activities also aim to encourage behavioural change and ensure that the poorest of the poor can exercise their right to health.

The SDC cooperates with other federal departments and offices such as the Human Security Division (HSD) and the FDFA's Sectoral Foreign Policies Division, the Federal Office of Public Health (FOPH) and the State Secretariat for Economic Affairs (SECO).

Context

Faced with growing populations in the low-income countries and the ageing of the global population, establishing efficient and equitable health systems is a priority. However, health care systems in a large number of countries suffer from a lack of investment and poor management of the available resources, with services relying too heavily on external funding. As a result, infrastructure, technologies and equipment are lacking, and there is an acute shortage of qualified health workers. Furthermore, the absence of social protection mechanisms forces patients to cover a large part of the costs themselves, thereby exacerbating the inequalities in access to care. At the end of the day, the economic consequences of a poor health care system are hindering development in the countries concerned.

In its position on health for the post-2015 agenda, Switzerland aspires to maximise health for all in all life stages. The long-term objective is to achieve universal health coverage and take coordinated action on the social, economic, cultural and environmental determinants of health. After all, the conditions in which people are born, raised and work have an impact on their state of health. Adopting an approach to health that involves other sectors such as water, sanitation, education and food security is therefore absolutely essential to overcoming inequalities.

Documents

Swiss Contributions to Human Resources for Health Development in Low- and Middle-Income Countries, complete study (PDF, 102 Pages, 934.0 kB, English)

Swiss Contributions to Human Resources for Health Development in Low- and Middle-Income Countries, summary (PDF, 6 Pages, 3.3 MB, English)

Qualitative research on foreign health personnel in Switzerland and their recruitment (PDF, 635.5 kB, German)

WHO Global Strategy and Plan of Action on Public Health, Innovation and Intellectual Property: the Contribution of Switzerland (PDF, 1.1 MB)

Human Resources for Health Development in Low- and Middle- Income Countries Health Brief (PDF, 4 Pages, 274.3 kB, English)

Health despite poverty: a SDC-Sponsored project changes people's perspective Central Asia Project Briefing (PDF, 4 Pages, 898.0 kB)


Healthcare for remote regions: an SDC project in Kyrgyzstan sets the standard Central Asia Project Briefing (PDF, 4 Pages, 809.4 kB)

Article on family doctors in Bosnia and Herzegovina (PDF, 1 Page, 54.7 kB, German)


Lessons learned from evaluations on community participation and civil society involvement in health (PDF, 291.8 kB, English)

Current projects

Object 73 – 84 of 1284

Global Energy Efficiency and Construction Outreach Programme (GLECOP)

01.01.2022 - 31.12.2025

The Global Energy Efficiency and Construction Outreach Programme (GLECOP) contributes to low-emission, energy-efficient and resilient development of the building sector at a global scale. It supports two initiatives, the Global Alliance for Buildings and Construction and the Energy Efficiency in Emerging Economies Programme. With its support, Switzerland aims to leverage successful practices from its bilateral projects at the global level to strengthen energy efficiency policies in the buildings sector.


Single Phase - City-to-City Partnership Hawassa – Lugano

01.01.2022 - 31.12.2026

This contribution supports an innovative Swiss-Ethiopian municipal twinning partnership to enhance capacity at the sub-national level to manage access to drinking water in good quantity and quality according to the Sustainable Development Goal 6.1 and 6.3 in underserved communities. The partnership will be accompanied by a research and education component, involving local and Swiss innovative university partnerships.


Lugano Summer School

01.01.2022 - 31.12.2025

The Lugano Summer School in Public Health Policy, Economics and Management is an international hub for post-graduate short-term training in public health attracting practitioners and academics from around the world, in the spirit of mutual learning. This is one product of the Swiss School of Public Health consortium (SSPH+) portfolio. SDC scholarship support to the LSS facilitates participation to an expanding campus on public health and international recognition of expertise from low and middle-income countries since over 20 years.  


Support to the Climate and Clean Air Co-alition (CCAC)

01.01.2022 - 31.12.2025

The Climate and Clean Air Coalition is a leading global multistakeholder partnership bringing together states and intergovernmental and non-governmental organisations to jointly tackle the challenges of climate change and air pollution. Switzerland actively supports the Coalition, sharing its experiences garnered both nationally and through its international cooperation in order to assist low- and middle-income countries in implementing the most effective emission reduction strategies that yield multiple benefits for sustainable development. 


Contribution to Swiss Water Partnership (SWP)

01.01.2022 - 31.12.2025

The Swiss Water Partnership is a multi-stakeholder platform bringing together Swiss organizations from the academic, civil society including youth, public and private sectors, to join forces and find innovative solutions for water challenges in developing and transition countries. Umbrella of Swiss water stakeholders at the international level, carrying the diversity of the Swiss voice, the SWP is an important complementary partner to SDC to accelerate the 2030 water agenda.


Contribution to the country office of UN Human Rights in Honduras (United Nations High Commissioner for Human Rights)

01.01.2022 - 30.06.2024

UN Human Rights has established itself as the principal point of reference for critically positioning human rights in the public and political agenda of Honduras. It will continue to strive to provide protection of individuals and communities whose rights are at risk or denied, while also working to further develop institutions, laws and policies that effectively protect human rights. This will contribute to rule of law and providing the necessary framework for equitable and sustainable development.


FASL - Food-security and Agricultural Sustainability for Livelihood improvement

01.01.2022 - 31.12.2025

Poverty and food insecurity are widespread all over Afghanistan and even more accentuated after the political change after the takeover of the Taliban in August 2021. Therefore the support of the poorest farmers in the most remote areas by improving and securing their livelihoods is crucial in order to strenghten sustainable natural resources management and the communities’ resilience. It is interwoven with the humanitarian appeal of Aga Khan Foundation supported by Switzerland. 


International Fund for Agricultural Development (IFAD) 12 Core contribution 2022 - 2024

01.01.2022 - 31.12.2024

IFAD aims at transforming rural economies and food systems by making them more inclusive, productive, resilient and sustainable. During 2022-2024, IFAD plans lifting 68 million poor rural women and men out of hunger and poverty, en route to doubling its impact by 2030. IFAD is one of the 15 priority multilateral organizations of the Swiss international cooperation and shares its priorities of leaving no one behind; addressing issues of climate change, nutrition, gender and youth; and engaging more with the private sector and promoting innovation.


GVCD - Gaza Vulnerable Communities Development Programme

01.01.2022 - 31.12.2024

Through the Gaza Vulnerable Communities Development Programme, Switzerland contributes to covering basic needs and fostering social cohesion in the Gaza Strip. The successful intervention model applied in the 1st Phase is extended and scaled up under this 2nd Phase. Small infrastructure projects addressing basic needs of vulnerable communities serve as an entry point for a local dialogue on development priorities, enabled through building the capacities of both duty bearers and right holders, including youth and women.


Soutien aux acteurs suisses de la coopération internationale en éducation (NORRAG et RECI)

01.01.2022 - 31.12.2025

L’éducation joue un rôle clé pour les objectifs de l’Agenda 2030. La contribution aux deux institutions Suisses, le Réseau sur les politiques et la coopération internationale en éducation et en formation (NORRAG), institut spécialisé en recherche appliquée en éducation, et le Réseau suisse éducation et coopération internationale (RECI), réseau de la société civile engagé en éducation dans la coopération internationale, vise à renforcer leurs interventions dans les pays en développement et le positionnement suisse en éducation à l’international.  


PACTA - Participatory Action Against Corruption: Towards Transparency and Accountability

01.01.2022 - 31.12.2026

In Bangladesh, Switzerland was instrumental in engaging likeminded development partners to support prominent local actors to curb corruption and establish transparent and accountable governance systems. This project, co-funded by Switzerland with the UK and Sweden, will continue the work on reducing corruption by engaging citizens, adding the use of an innovative digital tool for community monitoring. Based on the evidence collected on corruption incidences, the project will reinforce policy advocacy and engagement at different levels. 


Rural Markets

01.01.2022 - 30.09.2023

The political and health crisis in recent years has affected the economic activity of the Family Production Units (UPFs, in Spanish), which is why their resilience needs to be strengthened. The market development approach, applied in phases I and II of the project, has proven its potential to solve major bottlenecks.  In the last phase, the proposal is to consolidate and scale up the achievements in the market systems, as well as of the public and private services supporting them, focusing on knowledge management and sustainability mechanisms.

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